RT Journal Article SR Electronic T1 Designing and implementing a COPD discharge care bundle JF Thorax JO Thorax FD BMJ Publishing Group Ltd and British Thoracic Society SP 90 OP 92 DO 10.1136/thoraxjnl-2011-200233 VO 67 IS 1 A1 Nicholas S Hopkinson A1 Catherine Englebretsen A1 Nicholas Cooley A1 Kevin Kennie A1 Mun Lim A1 Thomas Woodcock A1 Anthony A Laverty A1 Sandra Wilson A1 Sarah L Elkin A1 Cielito Caneja A1 Christine Falzon A1 Helen Burgess A1 Derek Bell A1 Dilys Lai YR 2012 UL http://thorax.bmj.com/content/67/1/90.abstract AB National surveys have revealed significant differences in patient outcomes following admission to hospital with acute exacerbation of COPD which are likely to be due to variations in care. We developed a care bundle, comprising a short list of evidence-based practices to be implemented prior to discharge for all patients admitted with this condition, based on a review of national guidelines and other relevant literature, expert opinion and patient consultation. Implementation was then piloted using action research methodologies with patient input. Actively involving staff was vital to ensure that the changes introduced were understood and the process followed. Implementation of a care bundle has the potential to produce a dramatic improvement in compliance with optimum health care practice.